Mesh : Humans Glaucoma, Angle-Closure / surgery diagnosis physiopathology Iridectomy / methods Intraocular Pressure / physiology Laser Therapy / methods Iris / surgery Gonioscopy

来  源:   DOI:10.4103/IJO.IJO_1362_23   PDF(Pubmed)

Abstract:
BACKGROUND: Glaucoma, the silent thief of sight, is one of the most common vision-threatening conditions. Even though POAG (primary open angle glaucoma) is more common, PACG (primary angle closure glaucoma) is the dreaded variant. ISGEO (International Society for Geographical and Epidemiological Ophthalmology) has classified primary angle closure as PACS (primary angle closure suspect), PAC (primary angle closure), and PACG (primary angle closure glaucoma. The inconspicuous nature of PACS makes its diagnosis and treatment very tricky.
OBJECTIVE: To determine which cases are best suited for laser peripheral iridotomy.
CONCLUSIONS: Laser peripheral iridotomy is the gold standard for acute primary angle closure glaucoma treatment. But there is a lot of confusion regarding its use in PACS as a prophylactic measure. We have tried to throw light on laser peripheral iridotomy, a much debatable topic. The video focuses on various trials regarding laser peripheral iridotomy, the indications, side effects, and contraindications. We have also discussed its use as a therapeutic and prophylactic procedure.
CONCLUSIONS: The video highlights that the approach of laser peripheral iridotomy should be on a case-by-case basis.
UNASSIGNED: https://youtu.be/kiEYI9ct2Oo.
摘要:
背景:青光眼,沉默的小偷,是最常见的视力威胁之一。尽管POAG(原发性开角型青光眼)更为常见,PACG(原发性闭角型青光眼)是可怕的变体。ISGEO(国际地理和流行病学眼科学会)将原发性闭角分类为PACS(原发性闭角可疑),PAC(初级闭角),和PACG(原发性闭角型青光眼。PACS的不显眼性质使其诊断和治疗非常棘手。
目的:确定哪些病例最适合激光周边虹膜切开术。
结论:激光周边虹膜切开术是治疗急性原发性闭角型青光眼的金标准。但是,在PACS中作为预防措施的使用存在很多困惑。我们已经尝试了激光周边虹膜切开术,一个有争议的话题。该视频重点介绍了有关激光周边虹膜切开术的各种试验,适应症,副作用,和禁忌症。我们还讨论了其作为治疗和预防程序的用途。
结论:视频强调了激光周边虹膜切开术的方法应根据具体情况而定。
https://youtu。是/kiEYI9ct2Oo。
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